The Leading Forum on Managing the Care and Cost of Medicare/ Medicaid. Peter Harbage, President, Harbage Consulting

Transcription

1 Dual The NATIONAL Eligibles Summit The Leading Forum on Managing the Care and Cost of Medicare/ Medicaid Dual Eligibles October 30 31, 2012 Los Angeles, CA Produced by Beverly Hilton Hotel FEATURED FACULTY Julie Barnes, JD, Director of Health Policy, Bipartisan Policy Center Tom Betlach, MPA, Director, Arizona Health Care Cost Containment System Robin Callahan, Deputy Medicaid Director for Policy and Programs, Massachusetts Department of Health and Human Services Stephen Cha, MD (Invited), Medical Director, Center for Medicaid and CHIPS Services, Centers for Medicare and Medicaid Services C. Duane Dauner, President and Chief Executive Officer, California Hospital Association Susan Dentzer, Editor-in-Chief, Health Affairs, Health Policy Analyst, The News Hour with Jim Lehrer Hector Flores, MD, Medical Director, Family Care Specialists Medical Group Leonard Fromer, MD, FAAFP, Executive Medical Director, Group Practice Forum; Board Member, TransforMED Marsha Gold, MPH, ScD, Senior Fellow, Mathematica Peter Harbage, President, Harbage Consulting Thomas L. Johnson, President and Chief Executive Officer, Medicaid Health Plans of America Rhys W. Jones, MPH, Vice President, Medicare Policy and Market Development Specialty Products Group, Amerigroup Corporation Howard A. Kahn, Chief Executive Officer, LA Care Health Plan Jane Ogle, Deputy Director, Health Care Delivery Systems, California Department of Health Care Services Brian Osberg, MPH, Program Director, Health Division Center for Best Practices, National Governors Association Sarah Hudson Scholle, President of Research and Analysis, NCQA Martha Smith, Chief Program Officer, Dual Eligible Demonstration, Health Net, Inc. Alan Weil, MPP, JD, Executive Director, National Academy for State Health Policy Silver Grantor Bronze Grantor CoSponsored by Association of Clinicians for the Underserved Bipartisan Policy Center California Association of Health Plans California Hospital Association California Medical Association California Primary Care Association Disability Health Access Medical Health Plans of America National Association of Community Health Centers Media Partners TUITION SCHOLARSHIPS: The Dual Eligibles Summit is offering a limited number of Tuition Scholarships funded by grants from the California Endowment and the California HealthCare Foundation. See page 6 for information. Register Online at: A Hybrid Conference & Internet Event See page 2 Co-Located with the Third National Accountable Care Organization Congress

2 The National Dual Eligibles Summit The nine million dual eligibles who qualify for both Medicare and Medicaid benefits make up one of the country s most vulnerable populations. Beneficiaries frequently encounter barriers to healthcare access and have great difficulty navigating the complex administrative system created by the uncoordinated and often conflicting incentives of two beneficiary programs. The Affordable Care Act contains several provisions intended to improve the quality of care delivered to dual eligibles, while gaining greater control over the increasing costs of caring for this population by offering high quality coordinated care and improved outcomes. The First National Dual Eligibles Summit, October 30 31, 2012 in Los Angeles, will bring together policymakers, state government officials, advocates, experts, and caregivers who have been working on the front lines, providing care and advocating for the dual eligible population. Featured speakers and expert panels will provide analysis and perspective, and will share their hands-on experience in caring for this unique population. The two-day conference will include in-depth discussions of a number of different state demonstrations, plan and provider alignment strategies, the implications of the upcoming elections, and the long-term impact of health reform. In addition to compelling keynote presentations, there will be two content-rich pre-conferences and fifteen concurrent sessions offering participants a chance to discuss the implementation and operational challenges involved in managing care for dual eligibles, quality measurement, innovations in home and community based services, network strategies, and risk management. Please join us in discussing this urgent initiative with thought leaders, colleagues and national policy and program experts. CAPG AND IHA WELCOME As Dual Eligibles Summit co producers, it is the pleasure of the California Association of Physician Groups (CAPG) and the Integrated Healthcare Association (IHA) to welcome attendees to our Dual Eligibles Summit. The Summit will provide an unprecedented opportunity to discuss, dissect, and identify the best managment methods for the care and cost of Medicare/Medicaid Dual Eligibles. Donald H. Crane, JD, President and Chief Executive Officer, California Association of Physician Groups Tom Williams, DrPH, President and Chief Executive Officer, Integrated Healthcare Association Who Should Attend: Executives and Board Members of Health Plans, Health Systems, Hospitals and Physician Organizations Medical Directors Physicians Nurses, Nurse Practitioners and Other Allied Health Professionals Pharmacists and Pharmacy Benefit Managers Representatives of Purchasers, including Private Employers and Public Purchasers Consumer Organization Representatives Federal and State Government Officials Health Care Regulators and Policy Makers Health Benefits Consultants Health Services Researchers and Academics Health Care Attorneys and In-house Counsel Chief Financial Officers Chief Innovation Officers Directors of Accountable Care Directors of Quality Management and Improvement Directors of Government Programs Directors of Medicare Programs Directors of Medicaid Programs Directors of Network Contracting Directors of Provider Relations Directors of Finance and Reimbursement Pharmaceutical Executives Pharmaceutical Consultants ABOUT THE SUMMIT PRODUCERS The California Association of Physician Groups (CAPG), is the voice of organized medicine in California. CAPG is a professional association comprised of more than 150 of California s leading physician groups. These groups employ and/or contract with physicians who in turn provide health care services to approximately 13 million Californians. CAPG is the nation s largest professional association representing physician groups practicing in the managed care model. Our members are committed to the delivery of coordinated, accountable, clinically integrated health services. We support our members through public advocacy, educational services and collaboration with other stakeholders in California healthcare. The Integrated Healthcare Association (IHA) is a not-forprofit multi-stakeholder leadership group that promotes quality improvement, accountability and affordability of healthcare in California. IHA administers regional and statewide programs, serves as an incubator for pilot programs and projects, and actively convenes all healthcare parties for cross sector collaboration on healthcare topics. IHA principal projects include the California Pay for Performance Program (the largest private physician incentive program in the U.S.), the measurement and reward of efficiency in healthcare, administrative simplification, healthcare affordability, bundled episode of care payments, and accountable care organizations. Participation Options Traditional Onsite Attendance Simply register, travel to the conference city and attend in person. PROS: subject matter immersion; professional networking opportunities; faculty interaction. Onsite Live and Archived Internet Attendance Watch the conference in live streaming video of plenary sessions and listen to audio of preconference and concurrent sessions over the Internet and at your convenience at any time 24/7 for six months following the event. The archived conference includes speaker video and audio and coordinated PowerPoint presentations. PROS: Live digital feed and 24/7 Internet access for the next six months; accessible in the office, at home or anywhere worldwide with Internet access; avoid travel expense and hassle; no time away from the office. At your office or home EXHIBIT AND SPONSORSHIP OPPORTUNITIES: Take advantage of this unique opportunity to expand your reach! The Summit is attended by highly influential and experienced professionals. Sponsorship offers you strategic positioning as an industry leader. For more information call or exhibits@hcconferences.com. 2

3 Day 1: Tuesday, October 30, :00 am Registration PRE-CONFERENCE SESSIONS 9:00 am Noon Pre-Conference I: Dual Eligible Market Opportunities, Challenges and Solutions (Presented by The Camden Group) This session will provide leaders of hospitals, health systems and physician groups a comprehensive understanding of the dual eligible population and the financial imperatives, resource use, and care coordination requirements this population creates for their organizations. Industry leaders will gain insight on how to restructure their care management processes, build appropriate infrastructure, and align incentives in order to effectively manage dual eligible patients across the continuum of care. Topics include: The size and scope of the dual eligible population, including a typical profile of a dual eligible beneficiary and how to identify and target dual eligible sub-populations The economic impact dual eligibles have on the current healthcare system, including a detailed look at dual eligible spend for Medicare and Medicaid and insights into acute and post-acute utilization The challenges associated with serving the dual eligible population, coordination of care difficulties, and the wide range of conditions and health needs Care delivery transformation and reimbursement models tailored specifically for the dual eligible population with a discussion of current models in use Preparing your organization for the impact of the dual eligible population and specific actions and capabilities that should be developed Jeff Flick, National Vice President, Government Programs, HealthCare Partners, Torrance, CA James R. Smith, FACHE, Senior Vice President, The Camden Group, New York, NY Additional Faculty to be Announced 10:00 am Noon Pre-Conference II: Nine Million People and a Half Trillion Dollars of Resources: The Fulcrum of Health Reform in Action (Presented by HealthCare Partners) As one of the nation s largest providers of managed Medicare, Davita HealthCare Partners is poised to be a health delivery system of choice for the huge wave of new dual eligible patients being auto-enrolled into managed care. In preparation, the organization underwent a concentrated effort to successfully develop and implement a care management structure redesign that focused on home and community based services, long term care prevention, and special collaborative care centers focused on the chronically mentally ill. This session will demonstrate how to ensure success in treating the most challenging patient population enrolled in managed care. It will teach attendees about successfully collaborating with health plans, government, the provider community, and most importantly patients and their families. Topics of discussion will focus on best practices in marketing, patient experience, intake and empowerment of patients and families, integrating medical and psychosocial treatment with long term care coordination, and breaking the cost curve while improving care quality and clinical and fiscal outcomes. Karol Attaway, MHA, Vice President, Operations, HealthCare Partners, Torrance, CA Keith Wilson, MD, Regional Medical Director, HealthCare Partners, Torrance, CA OPENING PLENARY SESSION 1:00 pm Welcome and Introductions Elaine Batchlor, MD, MPH, Chief Medical Officer, L.A. Care Health Plan; Chair, Integrated Healthcare Association, Los Angeles, CA 1:15 pm Keynote Address: An Overview of the Dual Eligibles Landscape Marsha R. Gold, Sc.D., Senior Fellow, Mathematica Policy Research; Former Director for Research and Analysis, Group Health Association of America (now the AHIP), Washington, DC 1:45 pm Keynote Address: An Overview of the Policy Alternatives for the Coverage and Treatment of the Dual Eligible Population Alan Weil, JD, Executive Director, National Academy for State Health Policy (NASHP); Former Director, Assessing the New Federalism (ANF) Project, Urban Institute, Portland, ME 2:15 pm Keynote Panel: Health Plan Approaches to Managing the Dual Eligible Population and the Key to Improving Innovation- Driven Outcomes Matt Cowley, Head of Medicare, Mercy Care Plan, Phoenix, AZ Rhys W. Jones, MPH, Vice President, Medicare Policy and Market Development Specialty Products Group, Amerigroup Corporation, Virginia Beach, VA 3:15 pm Refreshment Break 3:45 pm Keynote Address: California Duals Demonstration: Bringing Coordination to a Fragmented System Hector Flores, MD, Medical Director, Family Care Specialists Medical Group, Los Angeles, CA Howard A. Kahn, Chief Executive Officer, L.A. Care Health Plan, Los Angeles, CA Jane Ogle, Deputy Director, Health Care Delivery Systems, California Department of Health Care Services, Sacramento, CA Martha Smith, Chief Program Officer, Dual Eligible Demonstration, Health Net, Inc., Oakland, CA Tom Williams, DrPH, President and Chief Executive Officer, Integrated Healthcare Association, Oakland, CA (Moderator) 5:15 pm Day 1 Adjourns followed by Opening Networking Reception HOTEL INFORMATION/RESERVATIONS The Beverly Hilton is the official hotel for the National Dual Eligibles Summit. A special group-rate of $ single/double per night (plus tax) has been arranged for Summit attendees. Please call HILTONS to make your reservation and refer to the group code Dual to get the group rate. Reservations at the group rate will be accepted while rooms are available or until the cut-off date of Monday, October 1, After this date, reservations will be accepted on a space-available basis at the prevailing rate. The Beverly Hilton 9876 Wilshire Boulevard Beverly Hills, CA

4 Day 2: Wednesday, October 31, :00 am Registration 8:00 am CONCURRENT SESSIONS: GROUP 1 Concurrent Session 1.1: Implementation and Operational Issues in Dual Eligible Managed Care Peter Harbage, President, Harbage Consulting; Former Assistant Secretary for Health, California Health and Human Services Agency; Special Assistant to the Administrator, Health Care Financing Administration, Sacramento, CA Kevin Prindiville, Deputy Director, National Senior Citizens Law Center, Oakland, CA Margaret Tatar, JD, Chief, Medi-Cal Managed Care Division, California Department of Health Care Services, Sacramento, CA John Wallace, Chief Operating Officer, L.A. Care Health Plan, Los Angeles, CA Concurrent Session 1.2: Evaluating the Quality of Care Provided in Dual Eligibles Integration Initiatives Sarah Hudson Scholle, President of Research and Analysis, National Committee for Quality Assurance, Washington, DC Concurrent Session 1.3: Integrating Behavioral Care into Comprehensive Care for Dual Eligibles Neal Adams, MD, MPH, Director of Special Projects, California Institute for Mental Health, San Francisco, CA Stuart Levine, MD, Vice President of Quality, Blue Shield of California, Los Angeles, CA Wells Shoemaker, MD, Medical Director, California Association of Physician Groups, Los Angeles, CA Concurrent Session 1.4: Health Plan Strategies to Manage the Covered Dual Eligible Population Thomas L. Johnson, President and Chief Executive Officer, Medicaid Health Plans of America, Washington, DC Concurrent Session 1.5: Dueling with Duals: Product, Network and Financial Strategies for Dual Eligibles William MacBain, MPS, Senior Vice President, Finance, Gorman Health Group, Washington, DC 9:00 am Transition Break 9:15 am CONCURRENT SESSIONS: GROUP 2 Concurrent Session 2.1: Dual Challenges for the Dual Eligibles: Creating Effective Clinical Systems for Complex Patients within an Administrative Framework that is Trusted by Patients and Engaged by Doctors Alan McKay, MPH, Executive Director, Central California Alliance for Health, Scotts Valley, CA Tim Schwab, MD, Chief Medical Officer, SCAN Health Plan, Long Beach, CA Wells Shoemaker, MD, Medical Director, California Association of Physician Groups, Los Angeles, CA Concurrent Session 2.2: Measuring Healthcare Quality for the Dual Eligible Beneficiary Population: A Consensus Approach Sarah Lash, Senior Program Director, Strategic Partnerships, National Quality Forum, Washington, DC Alice R. Lind, RN, MPH, Senior Clinical Officer and Director of Long-Term Supports and Services, Center for Health Care Strategies, Inc.; Chair, National Quality Forum Measure Application Partnership Dual Eligibles Workgroup, Hamilton, NJ Concurrent Session 2.3: Innovations in Home and Community-Based Services Terrie Stanley, Vice President of Strategy and Business Development, Partners in Care Foundation, San Fernando, CA Concurrent Session 2.4: No Place Like Home: A Community-Based, Member-Focused Approach to Managing Long-Term Services and Supports (LTSS) Duals Chad Corbett, Vice President, Long Term Care, Mercy Care Plan, Phoenix, AZ Concurrent Session 2.5: Primary Care Transformation for the Dual Eligibles Population Leonard Fromer, MD, FAAFP, Executive Medical Director, Group Practice Forum; Board Member, TransforMED, LLC, Los Angeles, CA 10:15 am Refreshment Break 10:45 am CONCURRENT SESSIONS: GROUP 3 Concurrent Session 3.1: Creating a Health Assessment Program that Closes Gaps in Care Jack McCallum, MD, PhD, Chief Executive Officer, CenseoHealth, LLC, Dallas, TX Session 3.2: The Diversity of Dual Eligible Beneficiaries: An Examination of Services and Spending for People Eligible for Both Medicaid and Medicare Teresa A. Coughlin, Senior Fellow, Urban Institute Health Policy Center, Washington, DC Timothy A. Waidmann, Senior Fellow, Urban Institute Health Policy Center, Washington, DC Concurrent Session 3.3: Community Clinics and Health Centers: Transforming the Future of Health Care Carmela Castellano-Garcia, President and Chief Executive Officer, California Primary Care Association, Sacramento, CA Concurrent Session 3.4: Care Coordination Across All Payer Types: Moving Towards a Risk-Bearing Model of Delivery Martha Santana-Chin, Vice President of Provider Network Operations and Development, AltaMed Health Services, Los Angeles, CA Martin Serota, MD, Vice President and Chief Medical Officer, AltaMed Health Services, Los Angeles, CA Concurrent Session 3.5: Can Medicare Acute and Post-Acute Care Payment Bundles Improve Care for Dual Eligibles? Allen Dobson, PhD, President, Dobson DaVanzo & Associates, LLC, Vienna, VA 11:45 am Lunch in Exhibit Hall 4

5 CLOSING PLENARY SESSION 12:45 pm Welcome and Introductions Don Crane, President and Chief Executive Officer, California Association of Physician Groups, Los Angeles, CA 1:00 pm Keynote Address: The Implications of the Presidential and Congressional elections, the Lame Duck Session and the First 100 Days Julie Barnes, JD, Director of Health Policy, Bipartisan Policy Center, Washington, DC 1:30 pm Keynote Address: Going the Distance to Improve The Care Span: Long Term implications for Health Reform Susan Dentzer, Editor-in-Chief, Health Affairs; Health Policy Analyst, The News Hour with Jim Lehrer, Washington, DC 2:00 pm Keynote Address: Updates from CMS Stephen Cha, MD (Invited), Medical Director, Center for Medicaid and CHIPS Services, Centers for Medicare and Medicaid Services, Baltimore, MD 2:30 pm Refreshment Break 3:00 pm Keynote Panel: State Approaches to Covering and Caring for Dual Eligible individuals Tom Betlach, MPA, Director, Arizona Health Care Cost Containment System; Former Director, Governor s Office of Strategic Planning and Budgeting, Phoenix, AZ Robin Callahan (Invited), Deputy Medicaid Director for Policy and Programs, Massachusetts Department of Health and Human Services, Boston, MA L. Gordon Moore, MD, Chief Medical Officer, Treo Solutions, Troy, NY Brian Osberg, MPH, Program Director, Health Division Center for Best Practices, National Governors Association, Washington, DC (Moderator) 4:15 pm Keynote Panel: Provider Perspectives on the Dual Eligible Population Mike Cheek, Vice President for Medicaid and Long Term Care Policy, American Health Care Association and National Center for Assisted Living, Washington, DC C. Duane Dauner, President and Chief Executive Officer, California Hospital Association, Sacramento, CA William A. Dombi, Esq., Vice President for Law, National Association for Home Care & Hospice, Washington, DC Paul D.S. Kirwin, MD, President, American Association for Geriatric Psychiatry; Associate Professor of Psychiatry, Yale School of Medicine, New Haven, CT Alice R. Lind, RN, MPH, Senior Clinical Officer and Director of Long-Term Supports and Services, Center for Health Care Strategies, Inc.; Chair, National Quality Forum Measure Application Partnership Dual Eligibles Workgroup, Hamilton, NJ (Moderator) 5:30 pm Dual Eligibles Summit Adjourns The National Dual Eligibles Summit is Co-Located with The THIRD NATIONAL Accountable Care Organization Congress The Leading Forum on Accountable Care Organizations (ACOs) and Related Delivery System and Payment Reform October 30 November 1, 2012 Los Angeles, CA Beverly Hilton Hotel Produced by Media Partners Special Two-Conference Package! A Hybrid Conference & Internet Event See website Both the ACO Congress and the Dual Eligibles Summit are hybrid conferences and internet events. See page 7 to find out how you can participate in both conferences! 5

6 THE FOLLOWING REGISTRATION TERMS AND CONDITIONS APPLY REGARDING INTERNET REGISTRATIONS 1. Individuals or groups may register for Internet access. Conference plenary sessions are broadcast in video. Conference preconference and concurrent sessions are broadcast in audio only. From time to time individuals decline to sign the waiver permitting Internet broadcast. In those instances their presentations are not included in the broadcast. 2. Organizations may register for group access without presenting specific registrant names. In such instances the registering organization will be presented a series of user names and passwords to distribute to participants. 3. Each registrant will receive a user name and password for access. Registrants will be able to change their user names and passwords and manage their accounts. 4. Internet registrants will enjoy six (6) months of access from the date of issuance of a user name and password. 5. Only one user (per user name and password) may access the archived conference. It is not permissible to share the user name and password with third parties. Should Internet registrants choose to access post conference content via alternative media (Flash Drive), this individual use limitation applies. It is not permissible to share alternative media with third parties. 6. User name and password use will be monitored to assure compliance. 7. Each Internet registration is subject to a bandwidth or capacity use cap of 5 gb per user per month. When this capacity use cap is hit, the registration lapses. Said registration will be again made available at the start of the next month so long as the registration period has not lapsed and is subject to the same capacity cap. 8. For online registrants there will be no refunds for cancellations. Please call the Conference Office at or for further information. REGARDING ONSITE REGISTRATION, CANCELLATIONS AND SUBSTITUTIONS 1. For onsite group registrations, full registration and credit card information is required for each registrant. List all members of groups registering concurrently on fax or scanned cover sheet. 2. For onsite registrants there will be no refunds for no-shows or for cancellations. You may send a substitute or switch to the online option. Please call the Conference Office at or for further information. METHOD OF PAYMENT FOR TUITION Make payment to Health Care Conference Administrators LLC by check, MasterCard, Visa or American Express. Credit card charges will be listed on your statement as payment to HealthCare (HC) Conf LLC. Checks or money orders should be made payable to Health Care Conference Administrators LLC. A $30 fee will be charged on any returned checks. REGISTRATION OPTIONS Registration may be made online or via mail, fax or scan. You may register through either of the following: Online at Fax/Mail/ using this printed registration form. Mail the completed form with payment to the conference registrar at th Ave. SE, Bothell, WA 98021, or fax the completed form to , or scan and the completed form to registration@hcconferences.com. Checks or money orders should be made payable to Health Care Conference Administrators LLC. The following credit cards are accepted: American Express, Visa or MasterCard. Credit card charges will be listed on your statement as payment to HealthCare (HC) Conf LLC. For registrants awaiting company check or money order, a credit card number must be given to hold registration. If payment is not received by seven days prior to the Summit, credit card payment will be processed. TAX DEDUCTIBILITY Expenses of training including tuition, travel, lodging and meals, incurred to maintain or improve skills in your profession may be tax deductible. Consult your tax advisor. Federal Tax ID: CONTINUING EDUCATION UNITS (CEUs) The Summit does not offer pre-approved Continuing Education Credits (CEUs) directly. However, onsite attendees can request a Certifcate of Attendance which they can file with appropriate entities for credit, and online attendees can request an Online Certificate of Attendance on which they can certify the number of hours they watched and can file with appropriate entities for credit. CANCELLATIONS/SUBSTITUTIONS No refunds will be given for no-shows or for cancellations of either online or onsite registrations. You may send a substitute or transfer your onsite registration to an online registration. For more information, please call the Conference Office at or INTELLECTUAL PROPERTY POLICY Unauthorized sharing of Summit content via Internet access through the sharing of user names and passwords or via alternative media (Flash Drive) through the sharing of said media is restricted by law and may subject the copyright infringer to substantial civil damages. The Summit aggressively pursues copyright infringers. If a registrant needs the ability to share Summit content within his or her organization, multiple Summit registrations are available at discounted rates. The Summit will pay a reward for information regarding unauthorized sharing of Summit content. The reward will be one quarter (25%) of any recovery resulting from a copyright infringement (less legal fees and other expenses related to the recovery) up to a maximum reward payment of $25,000. The payment will be made to the individual or individuals who in the opinion of our legal counsel first provided the factual information, which was necessary for the recovery. If you have knowledge regarding the unauthorized Summit content sharing, contact the Summit registration office. REGISTRATION BINDING AGREEMENT Registration (whether online or by this form) constitutes a contract and all of these terms and conditions are binding on the parties. In particular, these terms and conditions shall apply in the case of any credit/debit card dispute. GENERAL TERMS AND CONDITIONS Program subject to cancellation or change. If the program is cancelled the only liability of the Summit will be to refund the registration fee paid. The Summit shall have no liability regarding travel or other costs. Registration form submitted via fax, mail, or online constitutes binding agreement between the parties. FOR FURTHER INFORMATION Call (Continental US, Alaska and Hawaii only) or , send to registration@hcconferences.com, or visit our website at TUITION SCHOLARSHIPS: The National Dual Eligibles Summit is offering a limited number of full or partial Tuition Scholarships to qualifying representatives of local, state and federal government, consumer advocate organizations, safety net providers and health services research organizations. A variety of factors will be considered in determining the issuance of a scholarship. These factors include financial need and the desirability of geographic and organizational representation at the Summit. Funding for scholarships is limited. Tuition scholarships cover the cost of the registration fee for the Summit. Funds are not available to cover travel or lodging. To apply for a full or partial tuition scholarship to attend National Dual Eligibles Summit please complete and submit the Tuition Scholarship Application form. For Questions, call (Continental US, Alaska and Hawaii only) Mon. - Fri., 9 am - 5 pm pacific time or Scholarships@DualEligiblesSummit.com TUITION SCHOLARSHIPS APPLICATION FORM: 6 HOW TO REGISTER: Fully complete the form on page 7 (one form per registrant, photocopies acceptable). Payment must accompany each registration (U.S. funds, payable to Health Care Conference Administrators, LLC). ONLINE: Secure online registration at FAX: (include credit card information with registration) MAIL: Conference Office, th Ave SE, Bothell, WA FOR REGISTRATION QUESTIONS: PHONE: (Continental US, Alaska and Hawaii only) or , Monday-Friday, 7 AM - 5 PM PST registration@hcconferences.com

7 National Dual Eligibles Summit COMPLETE THE FOLLOWING. PLEASE PRINT CLEARLY: NAME SIGNATURE OF REGISTRANT - REQUIRED JOB TITLE ORGANIZATION ADDRESS CITY/STATE/ZIP TELEPHONE Special Needs (Dietary or Physical) ONSITE CONFERENCE ATTENDANCE Onsite conference registration includes onsite attendance, professional networking, and live interaction with the faculty, plus a conference materials CD. PRE-CONFERENCES: I Dual Eligible Market Opportunities, Challenges and Solutions $ 495 II Nine Million People and a Half Trillion Dollars of Resources: The Fulcrum of Health Reform in Action $ 395 CONFERENCE REGISTRATION (Does not include Pre-Conference): Standard Rate Through Friday, September 7, 2012* $ 995 Through Friday, October 5, 2012** $1,295 After Friday, October 5, 2012 $1,595 Academic/Government/Clinic*** Rate Through Friday, September 7, 2012* $ 595 Through Friday, October 5, 2012** $ 795 After Friday, October 5, 2012 $ 995 GROUP REGISTRATION DISCOUNT (Does not include Pre-Conference): Five or more registrations submitted at the same time receive the following discounted rates for conference registration only: Group Standard Rate Through Friday, September 7, 2012* $ 795 Through Friday, October 5, 2012** $1,095 After Friday, October 5, 2012 $1,395 Group Academic/Government/Clinic*** Rate Through Friday, September 7, 2012* $ 495 Through Friday, October 5, 2012** $ 595 After Friday, October 5, 2012 $ 695 CONFERENCE ELECTRONIC MEDIA: Onsite Attendees Following the Summit, the video/audio and presentations are made available in the following formats. To take advantage of the discounted prices below, you must reserve media WITH your Summit registration: Flash Drive ($99 + $15 shipping) $ months access on Web $ 99 SELECT YOUR CONCURRENT SESSIONS (Wednesday, October 31; one from each group): Group 1: 8:00 am Group 2: 9:15 am Group 3: 10:45 am SPECIAL PACKAGE REGISTRATION FOR CO-LOCATED DUAL ELIGIBLES SUMMIT AND ACCOUNTABLE CARE ORGANIZATION CONGRESS You can register for both events for both onsite and online (live and archived for 6 months) access for the following package price: This special package two-event registration provides full onsite access to both events you can go back and forth between the sessions and full online live and six month archived streaming video of the events so that you can see the sessions that you missed and review those sessions in which you participated. ONLINE CONFERENCE ATTENDANCE Online conference registration includes the live Internet feed from the Summit, plus six months of continued archived Internet access, available 24/7. INDIVIDUAL REGISTRATION (Includes Pre-Conference): Standard Rate Through Friday, September 7, 2012* $ 695 Through Friday, October 5, 2012** $ 995 After Friday, October 5, 2012 $1,295 Academic/Government/Clinic*** Rate Through Friday, September 7, 2012* $ 495 Through Friday, October 5, 2012** $ 595 After Friday, October 5, 2012 $ 695 GROUP REGISTRATION: Group registration offers the substantial volume discounts set forth below. Group registration permits the organizational knowledge coordinator either to share conference access with colleagues or to assign and track employee conference participation. Conference Access: 5 or more $395 each 10 or more $295 each 20 or more $195 each See INTELLECTUAL PROPERTY POLICY, page 6. CONFERENCE ELECTRONIC MEDIA: Online attendees Following the Summit, the video/audio and presentations are made available on a flash drive. To take advantage of the discounted price below, you must reserve media WITH your Summit registration: Flash Drive ($99 + $15 shipping) $ 114 (All online attendees automatically receive 6 months access on web.) SPECIAL SUBSCRIPTION OFFER FOR BOTH ONSITE AND ONLINE ATTENDEES: You can purchase an annual subscription to Accountable Care News, Medical Home News, Predictive Modeling News or Readmissions News for only $295 (regular rate $468) when ordered with your conference registration. Accountable Care News $ 295 Predictive Modeling News $ 295 Medical Home News $ 295 Readmissions News $ 295 * This price reflects a discount for registration and payment received through Friday, 9/7/12. ** This price reflects a discount for registration and payment received through Friday, 10/5/12. *** For the purpose of qualifying for a discounted rate: (1) academic shall apply to individuals who are full time teaching staff or full time students at an academic institution (i.e., a faculty member at a medical school or hospital residency program who also sees patients is a provider, not an academic); (2) government shall apply to individuals who are full time employees of federal, state or local regulatory agencies (i.e., a State university health system or local public hospital is a provider, not government); and (3) clinic shall apply to individuals who are full time employees of a Federally Qualified Health Center or safety net clinic. INDIVIDUAL REGISTRATION: Includes full conference (excluding Pre-Conferences), both onsite and online (live and archived for 6 months), for two co-located events (First National Dual Eligibles Summit and Third National ACO Congress): Through Friday, September 7, 2012* $1,995 Through Friday, October 5, 2012** $2,395 After Friday, October 5, 2012 $2,795 PAYMENT Discount Code: TOTAL FOR ALL OPTIONS, ONSITE OR ONLINE: Please enclose payment with your registration and return it to the Registrar at the Dual Eligibles Summit, th Ave SE, Bothell, WA 98021, or fax your credit card payment to You may also register online at Check/money order enclosed (payable to Health Care Conference Administrators LLC) Payment by credit card: American Express Visa Mastercard If a credit card number is being given to hold registration only until such time as a check is received it must be so noted. If payment is not received by seven days prior to the Summit, the credit card payment will be processed. Credit card charges will be listed on your statement as payment to HealthCare (HC) Conf LLC. 7 REGISTRATION BINDING AGREEMENT Registration (whether online or by this form) constitutes a contract and all of these terms and conditions are binding on the parties. In particular, these terms and conditions shall apply in the case of any credit/debit card dispute. For online and onsite registrants there will be no refunds for no-shows or cancellations. ACCOUNT # EXPIRATION DATE NAME OF CARDHOLDER SIGNATURE OF CARDHOLDER SECURITY CODE

8 Dual Eligibles Summit Publications Printing Dept Corporate Way Palm Desert, CA USA (Address for Return Mail Only) PRESORTED FIRST CLASS U.S. POSTAGE PAID PERMIT # 1 PALM DESERT, CA Dual The NATIONAL Eligibles Summit Register Online at: istock 2009 trekandshoot The Leading Forum on Managing the Care and Cost of Medicare/ Medicaid Dual Eligibles Co-Located with the Third National Accountable Care Organization Congress The Leading Forum on Accountable Care Organizations (ACOs) and Related Delivery System and Payment Reform October 30 31, 2012 Los Angeles, CA Produced by A Hybrid Conference & Internet Event See page 2 Beverly Hilton Hotel